title: Career after successful medical board examination in general practice--a cross-sectional survey.
abstract: OBJECTIVE
  Switzerland is facing a shortage of general practitioners (GPs). Knowledge of the factors influencing career choice is crucial for increasing the attractiveness of general practice. The aim of our study was to report the working conditions of recently certified GPs and the effect of vocational training in general practice on GP skills and knowledge, and economic skills. Furthermore, we recorded when GPs chose general practice as a career, as well as potential barriers to and facilitators of their decision.
  
  
  METHODS
  
  
  
  METHODS
  Cross-sectional survey with an online-based questionnaire.
  
  
  METHODS
  1,133 physicians certified in general practice between the years 2000 and 2010.
  
  
  RESULTS
  The response rate was 40.6% (456); 426 (44.1% females) were included in further analysis. A total of 341 (80.0%) were currently working in general practice. Female GPs were significantly more often employed (rather than working independently), working part-time and in group practices. Fifty-two (12.2%) of the participants did not work in general practice although they had intended to earlier. The majority (54.3%) of the participants working as GPs decided to become a GP during their residency. Overall, 60.6% of all participants completed vocational training in a general practice, which significantly improved self-perceived general practice skills compared with their colleagues without such training.
  
  
  CONCLUSIONS
  Residency is a more important time-period than medical school for career decisions to become a GP. Attractive residency programmes must be developed to engage physicians in this vulnerable phase. The workplace settings of female GPs were significantly different from those of male GPs. Vocational training in general practice had a positive effect on self-perceived GP skills.
authors.affiliation: Institute of General Practice and Health Services Research, University Hospital Zurich, Zurich, Switzerland. ryan.tandjung@usz.ch
authors.forename: Ryan
authors.initials: R
authors.lastname: Tandjung
authors.forename: Oliver
authors.initials: O
authors.lastname: Senn
authors.forename: Franz
authors.initials: F
authors.lastname: Marty
authors.forename: Linda
authors.initials: L
authors.lastname: Krauss
authors.forename: Thomas
authors.initials: T
authors.lastname: Rosemann
authors.forename: Nina
authors.initials: N
authors.lastname: Badertscher
mesh_terms: D000328:Adult; D002321:Career Choice; D002568:Certification; D003430:Cross-Sectional Studies; D004521:Educational Measurement; D004651:Employment; D005260:Female; D058006:General Practice / Q000193:education / Q000706:statistics & numerical data*; D006123:Group Practice / Q000706:statistics & numerical data*; D006801:Humans; D007396:Internship and Residency; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care / Q000706:statistics & numerical data*; D011331:Private Practice; D013044:Specialty Boards; D011795:Surveys and Questionnaires; D013557:Switzerland; D000078329:Workforce; D016526:Workload / Q000706:statistics & numerical data